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Anterior subcutaneous transposition of the ulnar nerve improves neurological function in patients with cubital tunnel syndrome 被引量:5
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作者 Wei Huang Pei-xun Zhang +3 位作者 Zhang Peng Feng Xue Tian-bing Wang Bao-guo Jiang 《Neural Regeneration Research》 SCIE CAS CSCD 2015年第10期1690-1695,共6页
Although several surgical procedures exist for treating cubital tunnel syndrome, the best surgical option remains controversial. To evaluate the efficacy of anterior subcutaneous transposition of the ulnar nerve in pa... Although several surgical procedures exist for treating cubital tunnel syndrome, the best surgical option remains controversial. To evaluate the efficacy of anterior subcutaneous transposition of the ulnar nerve in patients with moderate to severe cubital tunnel syndrome and to analyze prognostic factors, we retrospectively reviewed 62 patients(65 elbows) diagnosed with cubital tunnel syndrome who underwent anterior subcutaneous transposition. Preoperatively, the initial severity of the disease was evaluated using the Mc Gowan scale as modified by Goldberg: 18 patients(28%) had grade IIA neuropathy, 20(31%) had grade IIB, and 27(42%) had grade III. Postoperatively, according to the Wilson & Krout criteria, treatment outcomes were excellent in 38 patients(58%), good in 16(25%), fair in 7(11%), and poor in 4(6%), with an excellent and good rate of 83%. A negative correlation was found between the preoperative Mc Gowan grade and the postoperative Wilson & Krout score. The patients having fair and poor treatment outcomes had more advanced age, lower nerve conduction velocity, and lower action potential amplitude compared with those having excellent and good treatment outcomes. These results suggest that anterior subcutaneous transposition of the ulnar nerve is effective and safe for the treatment of moderate to severe cubital tunnel syndrome, and initial severity, advancing age, and electrophysiological parameters can affect treatment outcome. 展开更多
关键词 nerve regeneration peripheral nerve injury ulnar nerve compression syndrome age motor nerve conduction velocity electrophysiology sensory nerve conduction velocity modified Mc Gowan scale Wilson Krout criteria anterior transposition ulnar nerve NSFC grant neural regeneration
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